Thumb ulnar collateral ligament repair

Days 0- until first Post-Op Apt. The drill or punch is removed and the implant is inserted through into the bone socket. The anchor is gently impacted until it is fully seated. If the collateral ligament is not repaired the joint will continue to give way and feel unstable when the thumb is used.

Eventually this abnormal movement will wear out the joint and it will become arthritic. If the tear is diagnosed early a repair will be possible.

THUMB collateral ligament sprain. For a sprain of the thumb , look at which joint is noted in the OP Note. For a metacarpophalangeal joint ulnar collateral ligament sprain, you would use code 842.

For these reasons, people with more significant injuries to the ulnar collateral ligament may choose to have a surgical procedure to repair or reconstruct the damage to ligaments. For minor injuries to the ligaments , often a short course of immobilization with a splint or cast will allow the injury to heal. A torn ligament cannot fully heal itself. Surgery for the thumb collateral ligaments is usually done as an outpatient procedure, meaning you will probably go home the same day as the surgery. In the surgery, your surgeon will make a small V- or S-shaped cutover the back of the MCP joint of the thumb.

When the collateral ligaments actually tear, the MCP joint becomes very unstable.

It is especially unstable when the thumb is bent back. If one of the ligaments pulls away from the bone and folds backwards, it won’t be able to heal in the correct position. When this happens, surgery is needed to fix the ligament.

However, near total or total tears of the UCL may require surgery to achieve a satisfactory repair , especially if accompanied by a Stener lesion. No waiting, modern clinic, UK certified surgeons, 1. Utilizing a drill or punch, a bone socket is created for the anchor. Thumb Collateral Ligament Repair.

At the ulnar aspect of the thumb MCP joint, a longitudinal midaxial incision is made. Subsequently, the adductor pollicis aponeurosis and extensor mechanism are identifie incise and retracted. The UCL is exposed and usually torn off the volar- ulnar base of the proximal phalanx. Rashard Dacus, UVA Professor, describes a technique for repair of the thumb ulnar collateral ligament. Treatment will consist of range of motion, use of modalities, scar management and instruction in a home program.

WEEKS 6-8: Follow up at week twelve for re-evaluation or as needed if there are no concerns. Therapy will advance in range of motion and provide- strengthening guidelines. Ulnar Collateral Ligament Repair Acute rupture of the metacarpophalangeal joint (MCPJ) ulnar collateral ligament (UCL) also known as Skier thumb is a result of forced abduction that can further result in a UCL tear. The primary role of the MCPJ of the thumb is flexion and extension. Mike Hayton, MB ChB, (Wigan, England) presents solutions for acute and chronic thumb ulnar collateral ligament (UCL) repair.

Both the Mini PushLock and the Tenodesis System for chronic tears provide a knotless solution for thumb UCL repair. Stener lesion is when the adductor pollicis aponeurosis is interposed between the avulsed ulnar collateral ligament of the thumb MCP joint and its site of insertion.

Whilst both terms are often used interchangeably, skier’s thumb refers to the cause as being acute injury. Stop the Pain, Reduce the Swelling.